Patient Expectations and Satisfaction With Foot and Ankle Surgery in Saudi Arabia: A Retrospective Cohort Study

Al-Mohrej, Omar A.; Alsarhani, Waleed K; Al-Mohrej, Ahmed M.; Masuadi, Emad; Alkenani, Nader S

doi:10.1053/j.jfas.2016.08.002

Cited by 13 publications

(14 citation statements)

References 17 publications

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“…This is indicative of a positive prospect of the entire surgical process by the patients in terms of quality of care and actual interactions with the surgical team. This finding also resonated with the findings of Al-Mohrej et al, where the general patient-doctor interaction was found to be an important determinant for satisfaction scores before and after surgery [8]. Our survey results point out that the age groups of patients were approximately uniform with no significant difference in the frequencies across the groups (p > 0.05).…”

Section: Discussionsupporting

confidence: 91%

“…Patient satisfaction has become the main point of focus for the provision of not only the surgery service but also as a method of quality of care and medical/surgical intervention. Patients should be educated with all possible alternatives explored and should be given options that they can choose from based on their demographic information, clinical information, and possible options for treating a given issue [8]. When such information is provided to the patients, non-surgical options may not be used [9].…”

Section: Introductionmentioning

confidence: 99%

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Patients’ Perspectives of Surgical Safety Before and After Their Elective Surgeries at King Abdulaziz University Hospital, Jeddah, Saudi Arabia

Al-Abbadi¹,

Basharaheel²,

Alharbi³

et al. 2019

Cureus

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BackgroundPatients need to be educated and all possible treatment alternatives should be explored. Patients should be given options that they can choose from based on their demographic information, clinical information, and possible options for treating a given issue. This is especially true in elective surgery. The concept of safety plays a major part in every field, particularly in medicine. The patient’s safety is a key factor for a better experience and a better outcome. ObjectiveThis study aims to determine patient perceptions of surgical safety with an emphasis on surgical team interaction throughout the phases of care.MethodsA descriptive cross-sectional prospective study was conducted at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Patients undergoing elective surgery and hospitalized for more than 24 hours were asked to give their opinions regarding interactions between them and the surgical teams, including the nurses, anesthesiologists, and surgeons who operated on them. Only patients aged 18 or above were included in the sample. The analysis was carried out using the IBM Statistical Package for Social Sciences (SPSS), version 25 (IBM SPSS Statistics, Armonk, NY).ResultsMore than 70% of the study respondents had had more than one surgery. One hundred and ten of the study respondents said that the specific surgeons who attended to them encouraged them to ask questions. The majority of the respondents (76.7%) said that the surgical team gave them definite physical comfort, while the rest (23.3%) stated that they got somewhat less physical comfort from the surgical team. The average rating of the satisfaction pre-surgery was mean (M) = 8.51, standard deviation (SD) = 1.9, (95% confidence interval (CI): 8.19 - 8.83) while the average satisfaction rating for postoperative care was M = 9.05, SD = 1.35, (95% CI: 8.82 - 9.27).ConclusionsMost patients valued surgeon-patient interaction as it was seen to reduce pre-surgery anxiety, helped in giving options, and improved the patient’s overall understanding of the surgical procedure. Surgical teams are generally highly rated in terms of overall service pre- and post-surgery.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Patients’ Perspectives of Surgical Safety Before and After Their Elective Surgeries at King Abdulaziz University Hospital, Jeddah, Saudi Arabia

Al-Abbadi¹,

Basharaheel²,

Alharbi³

et al. 2019

Cureus

View full text Add to dashboard Cite

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“…In a retrospective study of Arabic patients, 80% described their foot or ankle condition as "much better" or "better" postoperatively, and 80% were willing to undergo the same operation. 1 Similarly, in a retrospective study of patients who underwent total ankle arthroplasty, 84% of patients felt their results were "very good to excellent" in pain reduction, and similarly high values for satisfaction in work and athletics. 21 Separately, satisfaction rates of 74% to 84% were reported for patients who had undergone ankle arthroplasty or fusion for arthritis.…”

Section: Discussionmentioning

confidence: 99%

Fulfillment of Expectations After Orthopedic Foot and Ankle Surgery

et al. 2019

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Background: To date, no study has assessed fulfillment of patients’ expectations after foot and ankle surgery. This study aimed to validate a method of assessing expectation fulfillment in foot/ankle patients postoperatively. Methods: Preoperatively, patients completed the expectations survey, consisting of 23 questions for domains including pain, ambulation, daily function, exercise, and shoe wear. At 2 years postoperatively, patients answered how much improvement they received for each item cited preoperatively. A fulfillment proportion (FP) was calculated as the amount of improvement received versus the amount of improvement expected. The FP ranges from 0 (no expectations fulfilled), to between 0 and 1 (expectations partially fulfilled), to 1 (expectations met), to greater than 1 (expectations surpassed). Receiver operating characteristic (ROC) curves and areas under the curve (AUCs) with 95% confidence intervals (CIs) were used to compare the expectations survey to other outcome surveys, including Foot and Ankle Outcome Score, improvement, overall fulfillment, Delighted-Terrible scale, and satisfaction. Results: Of the 271 patients (mean age 55.4 years, mean BMI 27.5, 65% female), 34% had expectations surpassed (FP >1), 4% had expectations met, 58% had expectations partially fulfilled (FP between 0 and 1), and 5% had no expectations met. The mean FP was 0.84 ± 0.41 (range 0-3.13), indicating partially fulfilled expectations. FP correlated significantly with all outcome measures ( P ≤ .007). FP was associated most closely with satisfaction ( r = 0.66 [95% CI 0.57-0.75]; AUC = 0.92 [95% CI 0.88-0.96]; P < .001) and improvement ( r = 0.73 [95% CI 0.64-0.81]; AUC = 0.94 [95% CI 0.91-0.96]; P < .001). Based on the associations with satisfaction and improvement outcomes, a clinically important proportion of expectations fulfilled is 0.68, with sensitivity 0.85-0.90 and specificity 0.84-0.86. Conclusion: The proportion of expectations fulfilled is a novel patient-centered outcome that correlated with validated outcome measures. The expectations survey may be used by surgeons to counsel patients preoperatively and also to assess patients’ results postoperatively. Level of Evidence: Level II, prospective comparative series.

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“…Few authors have studied patients' expectations of foot and ankle surgery, 1,[20][21][22]24,25 and none have investigated differences in expectations between diagnoses. We found that diagnosis played a very large role, accounting for 10.5% of the variation in expectations survey scores, more than any other variable analyzed.…”

Section: Discussionmentioning

confidence: 99%

Influence of Diagnosis and Other Factors on Patients’ Expectations of Foot and Ankle Surgery

et al. 2018

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Patient Expectations and Satisfaction With Foot and Ankle Surgery in Saudi Arabia: A Retrospective Cohort Study

Cited by 13 publications

References 17 publications

Patients’ Perspectives of Surgical Safety Before and After Their Elective Surgeries at King Abdulaziz University Hospital, Jeddah, Saudi Arabia

Patients’ Perspectives of Surgical Safety Before and After Their Elective Surgeries at King Abdulaziz University Hospital, Jeddah, Saudi Arabia

Fulfillment of Expectations After Orthopedic Foot and Ankle Surgery

Influence of Diagnosis and Other Factors on Patients’ Expectations of Foot and Ankle Surgery

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